| NPI | 1053578799 |
|---|---|
| Doing Business As | LAKEVIEW UROLOGIC SURGEONS |
| Entity Type | Organization |
| Authorized Contact | DAVID GIBBONS President 814-877-7591 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208800000X Urology |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2013-08-30 |